Electrocautery Dissection and Blunt Dissection for Breast Implants

Hi there-
I also feel strongly that precise cautery dissection has lowered my complication rates and simplified recovery for my patients. I do not think that the procedure takes any longer either.
This is a no brainer.
As for your question about how many surgeons do which, I could not say, but I think time will strengthen the knowledge base and more surgeons will use cautery only technique.

Blunt dissection involves using the finger to sweep around and open up the pocket where the implant is to be placed. Electrocautery dissection is more precise, involving cauterization of the blood vessels in the area to reduce trauma and potential for blood loss. Referred to as bloodless breast augmentation, it also leads to faster recovery times.  

This varies tremendously with each surgeon and with each approach. For example probably 90% of TUBA procedures are done primarily with blunt dissection. Whereas the breast crease approach can be accomplished via a variety of techniques. Electrocautery can also be delivered using bipolar forceps which is a more direct and locatlized application of the energy.

Blunt dissection, by definition, involves ripping the tissues apart blindly while cautery dissection is done under direct vision with precision. Since it also controls bleeding there is less bruising. All of this means faster recovery with less discomfort, though I remain skeptical about the "24 hour return to normal activities" that some claim.

The most important thing about the dissection is to remain as bloodless as possible with whichever technique you use.  I think electrocautery works best.